Interest In RAB Teen Summer Camp

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please fill out this form if you are interested in enrolling your teen in our Build-A-Bike Camp. Campers will participate in only one week of camp. Camp Start/End Times TBD. Build-A-Bike Camp is intended for Teens Ages 14-17

Email *

First Name

Last Name

How many teens are you interested in enrolling?

Clear selection

Which week(s) are you most interested in enrolling your teen(s)?

July 8 - 12

July 15 - 19

July 22 - 26

August 5 - 9

August 12 - 16

Build-A-Bike Camp will be sliding scale $250 - $350, this helps some teens receive financial aid. Would you be willing to pay $350 so that another teen may receive financial aid?

Yes

Maybe

Clear selection

What date will you need to enroll your teen(s) by?

YYYY

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Recycleabike.org. Report Abuse

Forms